CN102105110A - Plate holding bone forceps and method of use - Google Patents

Plate holding bone forceps and method of use Download PDF

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Publication number
CN102105110A
CN102105110A CN2009801290920A CN200980129092A CN102105110A CN 102105110 A CN102105110 A CN 102105110A CN 2009801290920 A CN2009801290920 A CN 2009801290920A CN 200980129092 A CN200980129092 A CN 200980129092A CN 102105110 A CN102105110 A CN 102105110A
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China
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bone
arm
section
hone lamella
target part
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CN2009801290920A
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Chinese (zh)
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CN102105110B (en
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A·A·费尔南德斯·德洛卡
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Synthes USA LLC
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Synthes USA LLC
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/2812Surgical forceps with a single pivotal connection
    • A61B17/282Jaws
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/808Instruments for holding or positioning bone plates, or for adjusting screw-to-plate locking mechanisms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8866Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices for gripping or pushing bones, e.g. approximators

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgery (AREA)
  • Medical Informatics (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Ophthalmology & Optometry (AREA)
  • Neurology (AREA)
  • Surgical Instruments (AREA)

Abstract

A device for the positioning of a bone plate against a bone comprises first and second arms (104) pivotally connected at a first joint (114), distal ends of the first and second arms defining a gripping surface (112) for gripping the bone therebetween, proximal portions of the first and second arms extending in a first plane. An extension member (126) couples to the first and second arms at the first joint and includes a first section (128) extending distally from, the first joint parallel to the first plane and a second section (130) extending distally from the first section angled relative to the first section so that when the first and second arms are in a desired configuration gripping the bone, the second section extends parallel to the bone. A compression mechanism couples to the second section and includes a compression member (142) and a coupling member (136) being movable toward and away from the second section.

Description

The bone forceps of holding plate and using method
Related application
The application requires in the priority of the U.S. Provisional Application serial number No.61/084294 that is entitled as " bone forceps of holding plate and using method thereof (Plate Holding Bone Forceps and Method of Use) " of submission on July 29th, 2008.The full content of above-mentioned application is hereby expressly incorporated by reference.
Technical field
The present invention relates to a kind of being used for the plate that hone lamella temporarily anchors on the bone (or skeleton) is kept system.Described plate keep system with hone lamella facing to or abut against bone and temporarily be locked in a position, with help hone lamella is suitably located, wherein, can be repeatedly with described plate maintenance system's locking and releasing locking, thereby, and can not cause damage to bone with described hone lamella location.
Background technology
The step of bone fixation or program comprise and adopt the bone be attached to cracking or fracture or with the bone fixation plates on the bone of other situation damage.When carrying out these steps, for fear of the further cracking that makes bone, it is vital that hone lamella is suitably located with respect to the cracking position.A kind of hone lamella is resisted against carried out localized system and comprised that passing elongated bone-plate holes inserts bone screw (or screw) on the bone.Screw can be inserted in the bone with discharging or unclamp, and hone lamella is moved to desirable orientation facing to bone with respect to screw.Screw is repeatedly discharged (or unclamping) or is tightened in bone, up to obtain desirable orientation is set till.Yet because hone lamella only moves in the limited field of an elongated bone-plate holes, so this system usually can not provide the side direction to a certain degree of hone lamella or laterally move, this shifted laterally need keep the tram of hone lamella.And then, tighten the screws and unclamp the bone pull-out capacity (a bony purchase) that screw has reduced screw in bone repeatedly, when being screwed into screw in the bone at last, the maintenance active force of Chan Shenging may be lower than effective maintenance active force like this.
Summary of the invention
The present invention relates to a kind of being used for hone lamella is positioned at device on the target part of bone, it is included in the first arm and second arm of locating to be pivotally connected to each other in first abutment (or hinge), the far-end of each in described the first arm and described second arm forms clamping surface, the configuration of described clamping surface is made the target part that between them, clamps bone, the part at contiguous described first abutment of described the first arm and described second arm stretches in first plane basically, and be connected to stretching, extension part on described the first arm and described second arm at described first junction point, described stretching, extension part comprise by described first abutment basically with first plane parallel ground to first section that stretches at a distance, and by first section at a distance stretching with respect to first section angled second section, thereby, when described the first arm and described second arm are in the desirable of the target part that clamps described bone or during the orientation wanted, described second section be connected to that compressing mechanism on described second section combines basically and stretch abreast on the surface of the described target part of described bone, described compressing mechanism be included in described stretching, extension part described second section with compressive plate between the connector that connects, described compressive plate comprises distal surface, the configuration of described distal surface make with to be connected to described bone on the proximal end face of hone lamella engage, described connector can move with respect to described second section of described stretching, extension part, so that described compressive plate is towards and away from described second section motion.
Description of drawings
Fig. 1 shows first perspective view according to deformable bone fixation device of the present invention; And
Fig. 2 shows the side view of deformable bone fixation device shown in Figure 1.
The specific embodiment
Can further understand the present invention with reference to following description and accompanying drawing.The present invention relates to the treatment (or handle) of bone or skeleton, specifically, relate to and a kind ofly be devoted to hone lamella is positioned at system on bone cracking (or fracture or fracture) or otherwise damage (or damage).One exemplary embodiment of the present invention have been described a kind of system and method that is used for hone lamella is positioned at the target area (or part) of rimose bone, realize this operation be by: make bone forceps clamp down on the target area (or position) of the contiguous geosutures of bone (a fracture line), and handle the hone lamella keeper of attaching (or attachment) to the bone forceps, apply clamping force, hone lamella is held against on the bone.Though exemplary embodiment of the present invention has specifically described the rimose fixing of radius (the radius),, it will be understood to those of skill in the art that and can adopt the present invention to treat the cracking of multiple bone.Those skilled in the art also will be understood that, term as used herein " closely " and " far " are described be towards (close) and leave (away from) direction of other user of surgeon or system.
As shown in Fig. 1-2, comprise a bone forceps 102 according to system 100 of the present invention, described bone forceps includes two slender arms 104.First end of bone forceps 102 includes Ring put around finger for massage of cavity of human body 106, to help gripping (or control) and the operation to each arm 104.Each Ring put around finger for massage of cavity of human body 106 also comprises the sector section (or toothed segmental arc) 108 of corresponding interlocking, the configuration of the sector section of described corresponding interlocking made they can mesh (or joint) with being locked to each other when one of them shifts onto on another them, such as the skilled person will appreciate, thereby each arm 104 locking position is relative to each other lived, till making them throw off engagement artificially.In other words, when making each arm 104 rotate (or rotation) toward each other, each tooth section 108 stops each arm 104 expansion or separated from each other in engagement over each other, allows that simultaneously each arm 104 is further promoted toward each other.Each arm 104 is stretched over second end 110, and described second end comprises clamping surface 112, and each described clamping surface is suitable for utilizing the friction grip article between them, as those skill in the art will appreciate that.Each arm 104 is coupled to each other pivotly at 114 places, an abutment (or hinge), and a predetermined distance is left near second end 110 in described abutment.Abutment 114 comprises the hole 116 that extends through each arm 104, and clamping screw 118 is received within the described hole pivotly.For example, clamping screw 118 can form with elongated threaded axle 120 with at the head 122 that the diameter of first end of described axle increases.Described head 122 also includes groove 124, and the configuration of described groove is made and can be engaged with the top of driving mechanism, and is such as the skilled person will appreciate.Second end of described axle 120 comprises part or other structure that diameter increases alternatively, and the part that described diameter increases or other structural configuration become to stop screw 118 by shifting out in the described hole 116.Therefore, each arm 104 limits (or formation) one roughly instrument or utensil of X-shaped shape, at its near-end sector section 108 is arranged, and at its far-end clamping surface 112 is arranged.The part at the close abutment 114 of each described arm 104 stretches in first plane, and this plane (or departing from out described first plane) is left in those part bendings that comprise clamping surface 112 away from abutment 114 of each described arm, thereby make that the target part of bone can be clamped, and cracking position 12 (for example, the longitudinal axis along bone 10 stretches) is left in the extension of the proximal part of each described arm 104.
As illustrating in greater detail in the side view of Fig. 2, described clamping screw 118 also will stretch part 126 and be fastened on the described arm 104.Specifically, exemplary stretching, extension part 126 is elongate articles of a stretching, extension, it has the near-end that is connected on the described arm 104, and comprise first section 128 and second sections 130, described first section is left described first section 128 described second section 130 of stretching by extending to certain angle with the described near-end of the partial parallel at the close described abutment 114 of described arm 104 basically, when described angle Selection becomes to make partly the desirable position of cracking that is in clamping bone 10 when described arm 104, described second section 130 is stretched abreast with the surface of bone 10 basically, as shown in the side view of Fig. 2.
Be sized to the threaded axle 120 that to admit the clamping screw 118 that passes it extending through first described first section 128 hole 132, stop described head 122 to be inserted into simultaneously and pass wherein.Described second section 130 comprises second hole 134 of passing it and extending, and the configuration in described hole is made head 138 and the threaded axle 140 of admitting set screw 136, described set screw to have diameter to increase.The far-end of described threaded axle 140 is connected on the plate boots (or panel seat (plate shoe)) by ball-and-socket joint 144, also is convenient to clamp hone lamellas 148 against bone 10 under hone lamella 148 and described second section 130 uneven situation even described ball-and-socket joint makes.For example, ball-and-socket joint can be in 0 ° of motion in the scope at 30 ° of angles (or movable).As will be described in more detail as follows, when tightening set screw 136, just impel described plate boots 142 to be resisted against on the hone lamella 148, ball-and-socket joint 144 is allowed plate boots 142 rotation, till the proximal end face of it and hone lamella 148 is substantially parallel.Plate boots 142 have distal surface 146, the configuration of described distal surface 146 are made, on the mid-proximal end face 150 that leans against hone lamella 148 of work (or operation configuration (in an operativeconfiguration)).For example, be under the planar situation basically in the proximal end face 150 of hone lamella 148, the distal surface 146 of plate boots 142 will be planar basically also.Described distal surface 146 can comprise one or more pins that thrust in the bone, thereby booster injection is to the clamping of bone.When being screwed into clamping screw 118 in the nut 126, second section 130 of described nut 126 is moved and more close bone 10, set screw 136 and plate boots 142 is moved and more close hone lamella 148, and then hone lamella 148 is pressed against on the bone 10.
According to an exemplary method of the present invention, bone forceps 102 location or be placed on 12 tops, cracking position of bone 10, make that having the surface 112 of convex ridge partly engages with the side direction of bone 10 (or laterally).The tooth 108 that can make mutual locking subsequently is in location over each other or placement (or one of them tooth is positioned on another tooth), bone forceps 102 is locked in the desirable position on the bone 10.Subsequently with hone lamella 148 with target orientation be placed between each arm 104 of bone forceps 102 cracking position 12 above.In initial configuration, clamping screw 118 is loosely remained in first hole 132, make plate boots 142 and bone 10 leave certain distance, described distance will be enough to allow that hone lamella 148 slides between plate boots 142 and bone 10, what go out as shown in Figure 2 is such.In case hone lamella 148 has been moved on to after the target orientation, clamping screw 118 is screwed in described first section 128 described first hole 132, described plate boots 142 are pressed against on the proximal end face 150 of hone lamella 148.Can use any known imaging technique to confirm that hone lamella 148 is in respect on the 12 desirable orientations of cracking position subsequently.Reorientate if desired, just clamping screw 118 is unscrewed, discharge by 142 applied pressures of plate boots, and reorientate or be provided with hone lamella 148.Once more clamping screw 118 is tightened, and such process can repeatedly repeat according to needed number of times, up to reaching till the target orientation on the bone 10, and can not damage bone 10.Specifically, exemplary embodiment of the present invention allows that surgeon or other user repeatedly face toward bone 10 with hone lamella 148 according to needed number of times and reorientate, and does not have the danger that wearing and tearing occur or bone is additionally damaged at the bone place.In case reached after the target orientation, can pass any bone-plate holes 152 and insert deformable bone fixation device (for example bone screw), with the position of these fixtures of locking before bone forceps 102 is removed by bone 10.
Although described the present invention with reference to preferred embodiment, what declare is can implement multiple modification to exemplary system and method for the present invention, and these all without departing from the spirit and scope of the present invention.

Claims (13)

1. one kind is used for hone lamella is positioned at device on the target part of bone, and it comprises:
The first arm that is pivotally connected to each other at first abutment and second arm, the far-end of each in described the first arm and described second arm is formed with clamping surface, described clamping surface is configured to the target part of clamping bone between them, and the part at contiguous first abutment of described the first arm and described second arm stretches in first plane basically;
Be connected to stretching, extension part on described the first arm and described second arm at described first junction point, described stretching, extension part comprise by described first abutment basically with described first plane parallel ground to first section that stretches at a distance, and by described first section at a distance stretching and with respect to described first section second section of forming certain angle, thereby, when described the first arm and described second arm were in the desirable orientation of the described target part that clamps described bone, described second section was stretched abreast with the described target surface partly of described bone basically;
Be connected to the compressing mechanism on described second section, described compressing mechanism be included in described stretching, extension part described second section with compressive plate between the connector that is connected, described compressive plate comprises distal surface, described distal surface is configured to the proximal end face that will be connected to the hone lamella on the bone and engages, described connector can move with respect to described second section of described stretching, extension part, so that described compressive plate is towards and away from described second section motion.
2. according to the described device of claim 1, it is characterized in that, described compressive plate be connected on the screw by second abutment, allow described compressive plate with respect to described second section angled.
3. according to the described device of claim 2, it is characterized in that described second abutment is a ball-and-socket joint.
4. according to the described device of claim 1, it is characterized in that described connector is to pass the set screw that insert in threaded hole, described screwed hole passes described second section formation, thereby the rotation of described set screw causes that described compressive plate is with respect to described second section corresponding motion.
5. according to the described device of claim 2, it is characterized in that described ball-and-socket joint makes the described compressive plate can be with respect to described second section rotation, to regulate the described second section angle with respect to the described hone lamella of the described target part that is received in described bone.
6. according to the described device of claim 1, it is characterized in that, make described second section angled, thereby when described the first arm and described second arm were in the desirable configuration of the described target part that clamps described bone, described second section was stretched abreast with the longitudinal axis of the described target part of described bone basically.
7. according to the described device of claim 1, it is characterized in that, the near-end of each in described the first arm and described second arm comprises clamp lever, and wherein, the proximal part of described the first arm comprises the first toothed segmental arc, described toothed segmental arc is extended towards the second toothed segmental arc of the described proximal part of described second arm, the described first toothed segmental arc and the described second toothed segmental arc are oriented to, make when described the first arm and described second arm are rotated toward each other about described abutment, the described first toothed segmental arc and the described second toothed segmental arc overlap each other, and stop the described first toothed segmental arc and the described second toothed segmental arc separated from each other.
8. according to the described device of claim 1, it is characterized in that, described connector can make described compressive plate move between plate receiving positions and plate latched position, at described plate receiving positions, when described the first arm and described second arm are in the desirable configuration of the described target part that clamps described bone, the spaced certain distance of the described target part of the described distal surface of described compressive plate and described bone, described distance is bigger than the thickness of the hone lamella on the described target part that will be connected to described bone, and in described plate latched position, described distal surface moves towards the surface of described bone with respect to described plate receiving positions, is tightened on the described target part of described bone will be received within following plate holder.
9. one kind is used for the target part localized method of hone lamella facing to bone, and it comprises:
Between the far-end of the first arm and second arm, clamp the target part of bone, described the first arm and described second arm are pivotally connected to each other at first abutment, described the first arm and described second arm comprise the stretching, extension part that is connected on them, described stretching, extension part comprise from described first abutment basically with first plane parallel ground to first section that stretches at a distance, and from described first section at a distance stretching with respect to described first section angled second section, thereby, when described the first arm and described second arm were in the desirable orientation of the described target part that clamps described bone, described second section was stretched abreast with the described target surface partly of described bone basically;
Hone lamella is slided on the described target part of described bone, make described hone lamella a part described second section with the described target of described bone partly between;
Manipulation is connected to the compressing mechanism on described second section, so that described compressive plate is towards the motion of the proximal end face of described hone lamella, thereby temporarily described hone lamella is held against on the described target part of described bone; And
When the desirable position on the described target part that described hone lamella is remained on described bone, the bone fixation part is inserted in the hole that is passed in the admittance bone fixation part in the described hone lamella, on the described target part that described hone lamella is fixed to described bone.
10. in accordance with the method for claim 9, it is characterized in that it also comprises the step that discharges compressing mechanism, thereby, remove or discharge described hone lamella if hone lamella need be reorientated.
11. in accordance with the method for claim 9, it is characterized in that, described compressing mechanism be included in described second section with described compressive plate between the screw that connects, handle described compressing mechanism and comprise the rotation set screw, so that described compressive plate is towards the described target componental movement of described bone.
12. in accordance with the method for claim 11, it is characterized in that, described compressive plate be connected on the described screw by second abutment, allow described compressive plate with respect to described second section angled.
13. in accordance with the method for claim 12, it is characterized in that described second abutment is a ball-and-socket joint.
CN200980129092.0A 2008-07-29 2009-07-29 Plate holding bone forceps and method of use Expired - Fee Related CN102105110B (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US8429408P 2008-07-29 2008-07-29
US61/084294 2008-07-29
PCT/US2009/052115 WO2010014719A1 (en) 2008-07-29 2009-07-29 Plate holding bone forceps and method of use

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CN102105110A true CN102105110A (en) 2011-06-22
CN102105110B CN102105110B (en) 2014-08-06

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US (1) US9642641B2 (en)
EP (1) EP2323568A1 (en)
JP (1) JP5368559B2 (en)
KR (1) KR101602326B1 (en)
CN (1) CN102105110B (en)
BR (1) BRPI0914752A2 (en)
CA (1) CA2729958C (en)
WO (1) WO2010014719A1 (en)

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CA2729958A1 (en) 2010-02-04
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CN102105110B (en) 2014-08-06
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